Pivotal Health

• Own state arbitration strategy end to end. Decide which states we pursue, in what order, and why. Turn a function that's been informal and reactive into a deliberate, prioritized roadmap. • Build the state filing process from the ground up. Formalize how, when, and where we file across the ~20 states with real volume, replacing ad hoc handling with a repeatable operating model. • Lead and grow the State Arbitration team. Take over management of the existing team, including direct oversight of state arbitration staff, and hire quickly to scale the function as it formalizes. • Recover misrouted claims. Identify volume currently flowing into the federal IDR process that should be filed at the state level, and build the workflows to catch and correctly route it going forward. • Partner with Data & Analytics. Work closely with the analytics team to surface trends in claims and outcomes, and use that data to sharpen which states and strategies we invest in. • Drive the product roadmap for state arbitration. Partner with Product and Engineering to translate operational reality (eligibility rules, filing requirements, remittance advice complexity) into the tools and automation the team needs. • Own remittance advice and eligibility determination. Bring clarity to where claims sit between federal and state processes, and build the judgment calls into scalable, documented logic rather than one-off decisions. • Take on broader department management. Assume ownership of responsibilities currently held by Operations leadership, running state arbitration as its own accountable department rather than a shared responsibility.

• Own end-to-end client operations for a portfolio of clients- proactively monitoring data, surfacing trends, and resolving issues (file delivery issues, ineligibility spikes, payment anomalies, data quality gaps) before they become client-raised escalations. • Work closely with implementations teams to understand the nuances and complexity of each clients setup and be the point person after go live for ensuring continued implementation quality • Use Metabase, BigQuery, and our internal reporting tools to turn operational signal into client-facing strategy: AR aging deep-dives, ineligibility analyses, and process recommendations. Build dashboards to surface important information in a timely manner, and then act on it. • Serve as a credible strategic counterpart to our Client Success team partners and our clients- walking into every conversation with a recommendation, not just data. You are not just fixing things that break, you are a thoughtful partner with ideas on how we can move the lever for our clients • Partner cross-functionally on IDR strategy and payer compliance work, leading special projects across the company and org that push our IDR model forward. • Help scale and our build our team out as we rapidly grow- collaborate on internal playbooks and onboarding documentation, and consistently work to improve our internal processes, use AI to help automate manual tasks on the team; always focused on building an operating system that helps us scale.

• Own warehouse platform architecture. Design and evolve the systems that support storage, transformation, governance, and access across clinical datasets. • Build scalable data infrastructure. Develop a secure and compliant warehouse infrastructure. • Healthcare-specific data modeling: Design and build clinical data models inside a scalable warehouse solution. • Design warehouse optimization strategies. Create data models and storage approaches that balance performance, scalability, and maintainability. • Establish data governance frameworks. Implement controls that ensure data quality, consistency, security, and auditability. • Enable downstream analytics and AI workloads. Build infrastructure that supports reporting, evidence generation, and machine learning applications. • Lead cross-functional technical initiatives. Partner with engineering, analytics, and product teams to align platform capabilities with business priorities. • Improve platform observability and reliability. Build monitoring, alerting, and operational tooling that ensures trust in critical data systems.

• Own senior relationship management across all channel partners, serving as the primary point of accountability for partner health, escalations, and strategic alignment • Build and operationalize the Partner Success function, including strategic QBRs reporting, communication cadences, and escalation processes • Act as the internal voice of the partner ecosystem, ensuring partner feedback informs product strategy, roadmap prioritization, and operational improvements. • Drive performance conversations using real metrics — net collection rate, win rate, days in AR — and translate data into actionable partner insights • Identify and pursue expansion opportunities within the partner portfolio in close partnership with Sales • Build the partner CS playbook from scratch: processes, cadences, escalation frameworks, and reporting infrastructure • Create scalable frameworks for measuring partner health, identifying risk, and proactively addressing challenges before they become escalations • Maintain visibility across all partner accounts, proactively surfacing risks before they become escalations

• Own data pipeline development. Build and maintain reliable pipelines that ingest, transform, and deliver healthcare data across the organization. • Design warehouse data models. Create scalable schemas and data structures that support analytics, reporting, and evidence generation. • Lead data transformation strategy. Establish frameworks and standards that improve consistency, maintainability, and performance. • Ensure data quality and trust. Implement validation, reconciliation, monitoring, and alerting processes across critical datasets. • Support clinical data integration initiatives. Help incorporate new clinical data sources into the warehouse ecosystem. • Optimize warehouse performance. Improve query efficiency, storage utilization, and processing costs as data volumes grow. • Partner with stakeholders on data requirements. Translate business questions into durable data solutions and trusted datasets. • Improve operational excellence. Develop tooling and processes that increase reliability and reduce manual intervention. • Mentor data engineers and analysts. Share best practices and elevate technical standards across the data organization.

• Own clinical data extraction architecture. Design and evolve the systems that ingest, process, and normalize structured and unstructured clinical data from multiple healthcare sources. • Build document intelligence pipelines. Develop services that extract meaningful information from PDFs, scanned records, images, and clinical documentation. • Lead healthcare data modeling efforts. Create approaches for transforming raw clinical artifacts into structured, queryable datasets. • Develop scalable ingestion services. Design resilient systems capable of processing large volumes of healthcare records with high reliability and accuracy. • Build scalable data extraction systems. Leverage the best available technologies and architectural approaches to improve information extraction, classification, and normalization across diverse healthcare data sources. • Establish data quality standards. Create validation frameworks, monitoring systems, and feedback loops that improve extraction accuracy over time. • Influence and collaborate across clinical, product, engineering, data, and operational domains: Driving alignment on business objectives and translating them into technical systems that support provider evidence generation. • Drive technical strategy for unstructured healthcare data. Evaluate technologies, standards, and architectural approaches that accelerate clinical data adoption. • Mentor engineers across the organization. Raise engineering standards through design reviews, technical leadership, and hands-on collaboration.

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership. • Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements. • Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI. • Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing. • Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner. • Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth). • Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities. • Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership. • Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements. • Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI. • Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing. • Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner. • Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth). • Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities. • Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

• Generate pipeline: Build new relationships with health system CFOs, Revenue Cycle, and Finance leadership. • Own complex sales cycles: Progress opportunities from initial outreach through close, managing multiple stakeholders, timelines, and deal requirements. • Develop account strategy: Own account planning, identify decision-makers and champions, and align deals to customer priorities, budget, and ROI. • Partner on deal execution: Work closely with the CRO on negotiations, contracting (including redlines), and closing. • Maintain executive relationships: Build credibility with senior stakeholders and position yourself as a trusted partner. • Drive pipeline discipline: Maintain accurate pipeline tracking, forecasting, and CRM hygiene (Salesforce is our source of truth). • Support customer transition: Partner with Customer Success to ensure smooth onboarding, implementation, and identify expansion opportunities. • Improve the motion: Bring ideas to reduce sales cycle time and improve how we engage and win with health systems.

• Own and lead the go-to-market strategy for the Health Systems segment, driving awareness, engagement, and pipeline growth • Develop audience-specific positioning, messaging, and content strategies that resonate with health system decision-makers • Partner closely with Sales, RevOps, and SDR leadership to align marketing efforts with revenue goals and optimize outbound and inbound strategies • Build and execute demand generation programs that accelerate adoption within health systems and provider organizations • Identify and manage participation in key industry events, conferences, and associations to increase brand visibility and market presence • Analyze market trends, customer feedback, and competitive insights to refine marketing strategy and identify new opportunities • Establish the foundational marketing infrastructure, programs, and processes needed to scale the Health Systems business • Collaborate cross-functionally with Sales, Client Success, Operations, and Executive Leadership to ensure alignment on business objectives and customer needs • Measure and report on marketing performance, pipeline contribution, and segment growth, using data to inform strategy and investment decisions • Serve as the internal expert on the Health Systems market, helping shape company strategy and long-term growth initiatives